CCI Exam Questions and Answers A+
Graded (2025)
A .Doppler .finding .in .patients .with .patent .ductus .arteriosus .would .be: .-
.CORRECT .ANSWER-Diastolic .left .to .right .flow .in .the .pulmonary .artery
Which .medium .interface .would .you .expect .the .strongest .(brightest) .echoes .to
.occur? .- .CORRECT .ANSWER-Air/Skin
A .congenital .malformation .where .the .septal .leaflet .of .the .tricuspid .valve .is
.displaced .toward .the .apex .of .the .right .ventricle .is .termed: .- .CORRECT
.ANSWER-Ebsteins .anomaly
In .a .patient .with .an .ostium .secundum .defect .of .the .heart, .a .step-up .(increased
.concentration) .of .oxygen .saturation .would .be .noted .in .the: .- .CORRECT
.ANSWER-Right .atrium
Which .component .is .the .metabolic .component .of .acid .base .balance .in .the
.body? .- .CORRECT .ANSWER-Hco3
The .stroke .volume .of .an .intact .ventricle .is .directly .influenced .by .all .of .the
.following .except?
a. .Preload
b. .Afterload
c. .Contractility
d. .Age .- .CORRECT .ANSWER-Age
The .factor .that .most .strongly .influences .the .speed .at .which .an .ultrasound
.wave .travels .through .a .patients .liver .is .the: .- .CORRECT .ANSWER-stiffness .of
.the .liver .tissue
________________ .cannot .travel .through .a .vcuum .- .CORRECT .ANSWER-Sound
When .evaluating .an .aortic .valve .for .stenosis, .caution .must .be .taken .not .to
.underestimate .the .severity .of .the .stenosis .in .the .presence .of: .- .CORRECT
.ANSWER-Mitral .regurgitation
Frequency .of .sound .is .expressed .in: .- .CORRECT .ANSWER-hertz
,The .methods .used .to .decrease .the .build .up .of .acid .in .a .patient .who .is
.arresting .are: .- .CORRECT .ANSWER-Hyperventilation .and .sodium .bicarbonate
The .term .opening .snap .is .used .to .describe: .- .CORRECT .ANSWER-mitral
.stenosis
The .mid .systolic .click .is .generally .associated .with: .- .CORRECT .ANSWER-
Barlow's .syndrome
What .factors .affect .the .pressure .gradient .across .a .valve? .- .CORRECT
.ANSWER-Resistance .to .flow .and .proximal .chamber .pressure
The .pulmonary .capillary .wedge .pressure .most .closely .approximates
._____________ .pressures. .- .CORRECT .ANSWER-LA .and .LVEDP
The .most .common .ventricular .septal .defect .is .the: .- .CORRECT .ANSWER-
perimembranous .VSD
Untreated .congestive .heart .failure .could .eventually .lead .to: .- .CORRECT
.ANSWER-pulmonary .HTN
The .tension .in .the .fibers .of .the .ventricle .after .the .onset .of .systole .refers .to: .-
.CORRECT .ANSWER-afterload
A .direct .result .of .mitral .regurgitation .is: .- .CORRECT .ANSWER-Left .atrial
.enlargement
Wolff .Parkinson's .White .syndrome .is .diagnosed .on .the .ECG .by .the .presence .of
.a: .- .CORRECT .ANSWER-delta .wave
The .second .heart .sound .is .associated .with: .- .CORRECT .ANSWER-closure .of
.the .aortic .and .pulmonic .valves
A .typical .finding .in .the .presence .of .aortic .stenosis .is: .- .CORRECT .ANSWER-
Left .ventricular .hypertrophy
Ohms .law .describes .the .basic .characteristics .of .electricity .in .a .circuit; .A
.principle .that .applies .to .all .electrical, .medical .and .monitoring .instruments. .The
.formula .is: .- .CORRECT .ANSWER-V=IxR
In .what .medium .does .sound .travel .the .fastest? .- .CORRECT .ANSWER-bone
subcristal .VSD's .are .also .known .as: .- .CORRECT .ANSWER-Subaotric .VSD
A .finding .of .coronary .artery .aneurysms .on .an .echocardiogram .of .a .child .would
.be .consistent .with: .- .CORRECT .ANSWER-Barlow's .syndrome
, The .central .venous .pressure .is .a .direct .reflection .of .the: .- .CORRECT .ANSWER-
right .atrial .pressure
In .the .normal .functioning .heart, .the .end .diastolic .volume .is .determined .by .what
.major .factors? .- .CORRECT .ANSWER-Diastolic .filling .pressure, .total .blood
.volume .and .atrial .systole
The .amount .of .refraction .is .most .strongly .influenced .by .the .relative
.____________ .on .either .side .of .the .interface. .- .CORRECT .ANSWER-acoustic
.impedance
Regions .of .decreased .particle .density .as .seen .on .ultrasound .refers .to: .-
.CORRECT .ANSWER-rarefraction
The ._________ .is .independent .of .the .frequency .and .intensity .of .the .sound
.wave. .- .CORRECT .ANSWER-speed .of .sound
Refraction .will .not .occur .is .the .sound .beam .is .________ .to .the .interface. .-
.CORRECT .ANSWER-perpendicular
Tetrology .of .Fallot .is .diagnosed .when .the .presence .of .what .four .anomalies? .-
.CORRECT .ANSWER-right .ventricular .hypertrophy, .ventricular .septal .defect,
.pulmonic .stenosis .and .an .overriding .aorta .(over .the .VSD)
In .ultrasound, .regions .of .increased .particle .density .refers .to: .- .CORRECT
.ANSWER-compression
Blood .within .the .pulmonary .artery .is .generally ._______ .% .saturated .with
.oxygen .- .CORRECT .ANSWER-75%
Diastolic .fluttering .of .the .anterior .mitral .valve .leaflet .as .seen .on .the .m-mode
.tracing .would .suggest? .- .CORRECT .ANSWER-Aortic .insufficiency
What .factor .of .resistance .has .the .most .effect .on .the .resistance .to .flow .in .a
.blood .vessel? .- .CORRECT .ANSWER-The .vessels .radius
The .echo .window .of .choice .for .evaluating .mitral .regurgitation .with .continuous
.wave .Doppler .is: .- .CORRECT .ANSWER-The .apical .4 .chamber .view
When .we .are .born, .the .communication .between .the .aorta .and .the .pulmonary
.artery .that .is .present .inutero .may .fail .to .close .off .after .birth. .This
.communication .is .called: .- .CORRECT .ANSWER-Patent .ductus .arteriosus
If .the .pressure .amplitude .of .a .sound .wave .is .doubled, .the .intensity .would .be: .-
.CORRECT .ANSWER-quadrupled
A .pulse .repetition .frequency .of .less .than .twice .the .Doppler .shift .frequency .will
.result .in .__________. .- .CORRECT .ANSWER-aliasing
Graded (2025)
A .Doppler .finding .in .patients .with .patent .ductus .arteriosus .would .be: .-
.CORRECT .ANSWER-Diastolic .left .to .right .flow .in .the .pulmonary .artery
Which .medium .interface .would .you .expect .the .strongest .(brightest) .echoes .to
.occur? .- .CORRECT .ANSWER-Air/Skin
A .congenital .malformation .where .the .septal .leaflet .of .the .tricuspid .valve .is
.displaced .toward .the .apex .of .the .right .ventricle .is .termed: .- .CORRECT
.ANSWER-Ebsteins .anomaly
In .a .patient .with .an .ostium .secundum .defect .of .the .heart, .a .step-up .(increased
.concentration) .of .oxygen .saturation .would .be .noted .in .the: .- .CORRECT
.ANSWER-Right .atrium
Which .component .is .the .metabolic .component .of .acid .base .balance .in .the
.body? .- .CORRECT .ANSWER-Hco3
The .stroke .volume .of .an .intact .ventricle .is .directly .influenced .by .all .of .the
.following .except?
a. .Preload
b. .Afterload
c. .Contractility
d. .Age .- .CORRECT .ANSWER-Age
The .factor .that .most .strongly .influences .the .speed .at .which .an .ultrasound
.wave .travels .through .a .patients .liver .is .the: .- .CORRECT .ANSWER-stiffness .of
.the .liver .tissue
________________ .cannot .travel .through .a .vcuum .- .CORRECT .ANSWER-Sound
When .evaluating .an .aortic .valve .for .stenosis, .caution .must .be .taken .not .to
.underestimate .the .severity .of .the .stenosis .in .the .presence .of: .- .CORRECT
.ANSWER-Mitral .regurgitation
Frequency .of .sound .is .expressed .in: .- .CORRECT .ANSWER-hertz
,The .methods .used .to .decrease .the .build .up .of .acid .in .a .patient .who .is
.arresting .are: .- .CORRECT .ANSWER-Hyperventilation .and .sodium .bicarbonate
The .term .opening .snap .is .used .to .describe: .- .CORRECT .ANSWER-mitral
.stenosis
The .mid .systolic .click .is .generally .associated .with: .- .CORRECT .ANSWER-
Barlow's .syndrome
What .factors .affect .the .pressure .gradient .across .a .valve? .- .CORRECT
.ANSWER-Resistance .to .flow .and .proximal .chamber .pressure
The .pulmonary .capillary .wedge .pressure .most .closely .approximates
._____________ .pressures. .- .CORRECT .ANSWER-LA .and .LVEDP
The .most .common .ventricular .septal .defect .is .the: .- .CORRECT .ANSWER-
perimembranous .VSD
Untreated .congestive .heart .failure .could .eventually .lead .to: .- .CORRECT
.ANSWER-pulmonary .HTN
The .tension .in .the .fibers .of .the .ventricle .after .the .onset .of .systole .refers .to: .-
.CORRECT .ANSWER-afterload
A .direct .result .of .mitral .regurgitation .is: .- .CORRECT .ANSWER-Left .atrial
.enlargement
Wolff .Parkinson's .White .syndrome .is .diagnosed .on .the .ECG .by .the .presence .of
.a: .- .CORRECT .ANSWER-delta .wave
The .second .heart .sound .is .associated .with: .- .CORRECT .ANSWER-closure .of
.the .aortic .and .pulmonic .valves
A .typical .finding .in .the .presence .of .aortic .stenosis .is: .- .CORRECT .ANSWER-
Left .ventricular .hypertrophy
Ohms .law .describes .the .basic .characteristics .of .electricity .in .a .circuit; .A
.principle .that .applies .to .all .electrical, .medical .and .monitoring .instruments. .The
.formula .is: .- .CORRECT .ANSWER-V=IxR
In .what .medium .does .sound .travel .the .fastest? .- .CORRECT .ANSWER-bone
subcristal .VSD's .are .also .known .as: .- .CORRECT .ANSWER-Subaotric .VSD
A .finding .of .coronary .artery .aneurysms .on .an .echocardiogram .of .a .child .would
.be .consistent .with: .- .CORRECT .ANSWER-Barlow's .syndrome
, The .central .venous .pressure .is .a .direct .reflection .of .the: .- .CORRECT .ANSWER-
right .atrial .pressure
In .the .normal .functioning .heart, .the .end .diastolic .volume .is .determined .by .what
.major .factors? .- .CORRECT .ANSWER-Diastolic .filling .pressure, .total .blood
.volume .and .atrial .systole
The .amount .of .refraction .is .most .strongly .influenced .by .the .relative
.____________ .on .either .side .of .the .interface. .- .CORRECT .ANSWER-acoustic
.impedance
Regions .of .decreased .particle .density .as .seen .on .ultrasound .refers .to: .-
.CORRECT .ANSWER-rarefraction
The ._________ .is .independent .of .the .frequency .and .intensity .of .the .sound
.wave. .- .CORRECT .ANSWER-speed .of .sound
Refraction .will .not .occur .is .the .sound .beam .is .________ .to .the .interface. .-
.CORRECT .ANSWER-perpendicular
Tetrology .of .Fallot .is .diagnosed .when .the .presence .of .what .four .anomalies? .-
.CORRECT .ANSWER-right .ventricular .hypertrophy, .ventricular .septal .defect,
.pulmonic .stenosis .and .an .overriding .aorta .(over .the .VSD)
In .ultrasound, .regions .of .increased .particle .density .refers .to: .- .CORRECT
.ANSWER-compression
Blood .within .the .pulmonary .artery .is .generally ._______ .% .saturated .with
.oxygen .- .CORRECT .ANSWER-75%
Diastolic .fluttering .of .the .anterior .mitral .valve .leaflet .as .seen .on .the .m-mode
.tracing .would .suggest? .- .CORRECT .ANSWER-Aortic .insufficiency
What .factor .of .resistance .has .the .most .effect .on .the .resistance .to .flow .in .a
.blood .vessel? .- .CORRECT .ANSWER-The .vessels .radius
The .echo .window .of .choice .for .evaluating .mitral .regurgitation .with .continuous
.wave .Doppler .is: .- .CORRECT .ANSWER-The .apical .4 .chamber .view
When .we .are .born, .the .communication .between .the .aorta .and .the .pulmonary
.artery .that .is .present .inutero .may .fail .to .close .off .after .birth. .This
.communication .is .called: .- .CORRECT .ANSWER-Patent .ductus .arteriosus
If .the .pressure .amplitude .of .a .sound .wave .is .doubled, .the .intensity .would .be: .-
.CORRECT .ANSWER-quadrupled
A .pulse .repetition .frequency .of .less .than .twice .the .Doppler .shift .frequency .will
.result .in .__________. .- .CORRECT .ANSWER-aliasing
